Individual
BRIAN MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
222 N MISSION ST STE C, WENATCHEE, WA 98801-6643
(509) 663-1161
Mailing address
222 N MISSION ST STE C, WENATCHEE, WA 98801-6643
(509) 663-1161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61344131
WA
1223P0221X
Pediatric Dentistry
D00948
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2016
Last updated
11/21/2022
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